Sexual wellbeing depends 70 percent on mental health and 30 percent on physical & hormonal. In Ayurveda Vajikarana is the branch of Astangayurveda which deals with sexual disorders as well as sexual wellbeing. Ayurveda has two aims i.e. protection and promotion of health and secondly cure from diseases. Vajikarana may be employed for fulfilling both of them i.e. promotion of sexual health and curing the sexual diseases. Sexuality and reproduction are so vital in Ayurveda that an entire discipline, known as Vajikarana, is dedicated to enhancing fertility and rejuvenating sexual and reproductive energy.

Vajikarana deals with the preservation and amplification of sexual potency of a healthy man and conception of healthy progeny as well as management of defective semen, disturbed sexual potency and spermatogenesis along with treatment of seminal related disorders in man. Vajikarana promotes the sexual capacity and performance as well as improves the physical, psychological and social health of an individual. Factually the Vajikarana is not exactly aphrodisiac but the current connotational meaning is same. Vajikarana therapy may minimize occurrence of congenital disorders besides it may also boost the genetic constitution of baby. Sexual intercourse commonly plays a strong role in human bonding, usually being used solely for pleasure and often leading to stronger emotional bonds. Acharya charak described all about Vajikarna in Charak chikitsha chapter two.

Erectile dysfunction (ED) is the inability to get or keep an erection firm enough to have sexual intercourse. It’s sometimes referred to as impotence, although this term is now used less often.

Ayurveda have too many ways to treat sexual as well as infertility disorder and treatment descrived in vajikaran chapter.

Physiology of erection

According to Ayurveda physiology erection is controlled by Apana vayu.

This vayu rules downward and outward movement in our body (i.e., all elimination). Nearly everything going into our body must go out. This applies to food, drink, and breath. This vayu is also associated with the female menstrual cycle, the act of giving birth, and male ejaculation. When a woman’s cycle is on schedule and she is able to conceive and give birth, it is said to be a sign that apana vayu is healthy. Being able to eliminate regularly is considered another sign. If there is too much elimination of any type, then apana vayu is considered weak (due to its inability to control the outward movement).

ED can occur because of problems at any stage of the erection process. An erection is the result of increased blood flow into your penis. Blood flow is usually stimulated by either sexual thoughts or direct contact with your penis.

When a man is sexually excited, muscles in the penis relax. This allows for increased blood flow through the penile arteries, filling two chambers inside the penis. As the chambers fill with blood, the penis grows rigid.

An erection ends when the muscles contract and the accumulated blood can flow out through the penile veins.

Erectile dysfunction causes-

There are many possible causes of ED, and they can include both emotional and physical conditions. Common causes include:

• Cardiovascular disease
• Neurological disorders
• Hormonal disturbance and endocrine abnormalities
• Diabetes
• Hypertension, or high blood pressure
• High cholesterol
• Obesity
• Low testosterone levels or other hormone imbalances
• Kidney disease
• increased age
• Stress
• Anxiety
• Depression
• Relationship problems
• Certain prescription medications, such as those used to treat high blood pressure or depression
• sleep disorders
• Drug use
• consuming too much alcohol
• using tobacco products
• Certain health conditions, such as Parkinson’s disease or multiple sclerosis (MS)
• Damage to the pelvic area through injury or surgery
• Peyronie’s disease, which causes scar tissue to develop in the penis

Erectile dysfunction treatment

Treatment for ED will depend on the underlying cause. You may need to use a combination of treatments, including medication or talk therapy.

Medications

A number of psychological factors can cause ED. If you’re experiencing psychological ED, you may benefit from talk therapy. Over several sessions, you and your therapist will discuss:

Vacuum pumps

This treatment uses the creation of a vacuum to stimulate an erection. Blood is drawn into the penis as the device is used, leading to an erection.

A vacuum pump device consists of a few different components:/p>

• A plastic tube, which you place over your penis
• A pump, which works to create the vacuum by drawing air out of the plastic tube
• An elastic ring, which you’ll move to the base of your penis as you remove the plastic tube
• The elastic ring functions to maintain the erection, holding the blood in the penis and preventing it from returning to circulation. It can be left in place for 30 minutes.
• Read more about vacuum pumps and how to use them.
• Erectile dysfunction symptoms

You may have ED if you regularly have:

• Trouble getting an erection
• Difficulty maintaining an erection during sexual activities
• reduced interest in sex

Other sexual disorders related to ED include:

• Premature ejaculation
• delayed ejaculation
• Anorgasmia, or the inability to achieve orgasm after ample stimulation

Speak with your doctor if you have any of these symptoms, especially if they’ve lasted for 3 or more months. They can help determine whether your symptoms are caused by an underlying condition that requires treatment.

Erectile dysfunction tests

Additional tests

Your doctor may perform additional testing to help diagnose your ED. Tests can include:

• Ultrasound. An ultrasound can be used to examine the blood vessels of the penis to determine if there’s a problem with penile blood flow.
• Nocturnal penile tumescence (NPT) test. A portable, battery-powered device, worn on the thigh, is used to evaluate the quality of your nocturnal erections. Data is stored in the device, which your doctor can access later.
• Injection test. During this test, a medication is injected into your penis to stimulate an erection. This allows your doctor to evaluate the firmness of the erection and how long it lasts.
• Urine tests. Urine tests can be used to check for diabetes or other underlying health conditions.
• Blood tests. Blood tests can be used to check for conditions such as diabetes, heart disease, thyroid issues, and low levels of testosterone.
• Erectile dysfunction exercises
• Certain exercises can also help with ED.
• Testosterone level